QUEEN'S SKIN CARE. LLC NPI 1619748761

NPI Information

  • NPI: 1619748761
  • Provider Name: QUEEN'S SKIN CARE. LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: QUEEN'S SKIN CARE
  • CLIA Number: 10D2286939
  • Address: 7171 CORAL WAY STE 104
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 238-8645

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NPI Details

QUEEN'S SKIN CARE. LLC is a family nurse practitioner in Miami, FL. QUEEN'S SKIN CARE. LLC NPI is 1619748761. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Queen's Skin Care.

The provider's business location address is:

7171 CORAL WAY STE 104
MIAMI, FL
ZIP 33155-684
Phone: (786) 238-8645

The provider's authorized official is Maura M Maidique Rojas .
The authorized official title is President and has the following contact phone number (786) 238-8645.

The CLIA number assigned to this NPI record is 10D2286939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2024 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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